MARY JULIANA WIDMEYER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

JULIANA

Last Name

WIDMEYER

Business Name

MARY JULIANA WIDMEYER MD

Original Issue Date

12/20/2023

Effective Date

12/20/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/20/2023